NPI | 1104140656 |
---|---|
Former Name | MONICA MASSARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004741) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26441) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2021-08-09 |